Citations Summary
Feb 2022 – Jan 20264 Inspections Conducted
2
No citations found
50% of all inspections
2
Resulted in citations
50% of all inspections
14 Total Citations — state avg: 23
Issued across those 2 inspections
7Standard Health
7Life Safety Code
Severity of Citations
How serious were those 14 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Pharmacy Srvcs/procedures/pharmacist/records
Standard Health Citation — quality of care
Services Provided Meet Professional Standards
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Resident's Care Supervised By A Physician
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Exit Signage
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Severity Scale Reference
Level 0 — No Harm Potential
Level 2 — Minor Potential Harm
Level 3 — Actual Harm
Level 4 — Immediate Jeopardy
Complaints
Feb 2022 – Jan 2026Below state average. This facility received 33.3 complaints per 100 beds vs. a statewide rate of 55.0. 1 citations resulted from those complaints (1.7 per 100 beds vs. 3.0 statewide).
Total Complaints
20
55,221 statewide
Per 100 Occupied Beds
33.3
55.0 state avg
On-Site Inspections
5
8,103 statewide
Citations Issued
1
1.7 per 100 beds · avg 3.0
Facility-Reported Incidents
30%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 2 |
| Other Services | 0 |
| Physical Environment | 1 |
| Quality of Care | 4 |
| Resident Rights | 1 |
| Total | 8 |